Marmasse J
Phlebologie. 1979 Apr-Jun;32(2):119-26, 128-31.
The compressive method was practiced instinctively in farthest antiquity. Its development in Western Europe over the past two centuries may be artificially divided into 3 phases. The first phase, which belongs to the prehistory of Phlebology, includes two notable facts: the start of ambulatory compression in London around 1800, and the interest that the French school immediately showed in this discovery. However, this measure was soon abandoned, since around 1880, in the Paris hospitals, ulcers of the leg were being treated by mercury plasters and rest in bed. The second phase--1900 to about 1950--is marked by the empirical development of the compressive method, mainly in chronic phlebopathies. The synergic effect of walking is definitively established; the treatment of deep-set phlebites by ambulatory compression is discovered by H. Fischer in Germany and then in France by L. Nard. Beginning in 1950, this empirical data is both spread by the new Phleboloby Societies, and submitted to rigorous scientific study. Clinicians (especially H. R. Van der Mollen), assisted by physicists, physiologists and biologists, establish the laws of "therapeutic counter-pressure" and transpose them in the textile industry. New materials facilitate the use of elastic pressure. Underestimated or little known by most physicians, ambulatory elastocompression remains for Phlobologists a fundamental therapy. At a time when sedentary living and excess use of drugs are being widely denounced, it still has a promising future.
压迫疗法在远古时代就已本能地被应用。在过去两个世纪里,它在西欧的发展可人为地分为三个阶段。第一阶段属于静脉学的史前时期,包括两个值得注意的事实:1800年左右伦敦开始采用门诊压迫疗法,以及法国学派立即对这一发现表现出兴趣。然而,这一措施很快就被放弃了,因为大约在1880年,巴黎的医院里用汞膏和卧床休息来治疗腿部溃疡。第二阶段——1900年至大约1950年——的特点是压迫疗法的经验性发展,主要用于慢性静脉疾病。行走的协同作用得到了明确证实;德国的H. Fischer发现了通过门诊压迫疗法治疗深部静脉炎,随后法国的L. Nard也有此发现。从1950年开始,这些经验数据由新成立的静脉学协会传播,并接受严格的科学研究。临床医生(尤其是H. R. Van der Mollen)在物理学家、生理学家和生物学家的协助下,确立了“治疗性反压”的规律,并将其应用于纺织工业。新材料便于弹性压力的使用。门诊弹性压迫疗法虽被大多数医生低估或了解甚少,但对静脉学家来说仍是一种基本疗法。在久坐生活方式和过度用药受到广泛谴责的时代,它仍有广阔的前景。